Healthcare Provider Details

I. General information

NPI: 1124687025
Provider Name (Legal Business Name): HANNAH BOOKWALTER SMITH APRN.CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH BOOKWALTER SNYDER

II. Dates (important events)

Enumeration Date: 06/13/2019
Last Update Date: 01/25/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 SHARON RD STE D
CIRCLEVILLE OH
43113-1498
US

IV. Provider business mailing address

5450 FRANTZ RD STE 360
DUBLIN OH
43016-4141
US

V. Phone/Fax

Practice location:
  • Phone: 740-420-8422
  • Fax: 740-420-6270
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.024706
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: